Individual
DEBRA J LOBATO-BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 HOPPIN ST, SUITE 204, PROVIDENCE, RI 02903-4141
(401) 444-8945
(401) 444-8742
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS00283
RI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS00283
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS00283
PROFESSIONAL LICENSE
RI
Enumeration date
12/15/2005
Last updated
01/19/2012
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